Organization
OKANOGAN DIALYSIS LLC
Active
Other names
Lauderhill Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
2916 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-1912
(954) 731-6044
(954) 731-6078
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009450300
—
FL
Enumeration date
08/06/2012
Last updated
04/22/2022
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